| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,684 |
6,105 |
$336K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,577 |
3,381 |
$203K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,907 |
1,540 |
$72K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
307 |
187 |
$71K |
| 92015 |
Determination of refractive state |
10,451 |
9,635 |
$70K |
| V2025 |
Deluxe frame |
1,374 |
1,368 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,432 |
2,419 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,123 |
946 |
$53K |
| V2020 |
Frames, purchases |
1,387 |
1,377 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
639 |
427 |
$15K |
| 92133 |
|
533 |
485 |
$12K |
| 92136 |
|
511 |
407 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
94 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,093 |
1,086 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
123 |
122 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
43 |
$4K |
| 92083 |
|
91 |
83 |
$4K |
| 92250 |
|
57 |
56 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$669.00 |
| 99199 |
Unlisted special service, procedure or report |
1,063 |
1,042 |
$0.00 |